Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.85 / $167.85 / $649.58	Facility		$167.85	$167.85	$649.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $185.71 / $236.57	Professional		$159.61	$185.71	$236.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $310.56 / $407.85 / $407.85	Professional		$310.56	$407.85	$407.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $407.85	Facility		$233.26	$233.26	$407.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $484.50	Professional		$170.28	$170.28	$484.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $375.22 / $407.85 / $774.92	Professional		$375.22	$407.85	$774.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $167.85 / $167.85 / $649.58	Facility		$167.85	$167.85	$649.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $192.85 / $326.27	Professional		$159.61	$192.85	$326.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $505.70 / $581.60 / $803.50	Professional		$505.70	$581.60	$803.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $407.85	Facility		$233.26	$233.26	$407.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $484.50	Professional		$170.28	$170.28	$484.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $291.60 / $388.20 / $388.20	Facility		$291.60	$388.20	$388.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $388.20 / $397.73	Professional		$291.60	$388.20	$397.73
United Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $203.47 / $367.81	Professional		$154.30	$203.47	$367.81